Wyatt M Logan
Wyatt M Logan is a Behavior Technician in Fullerton, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1630 W Gage AveFullerton, CA 92833-4526
Phone: (714) 388-4499
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1215614599 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 29, 2023 |
| Last updated in NPPES | June 29, 2023 |
| Certification date | June 29, 2023 |
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